Published June 11, 20188

SNF QRP Public Reporting is coming! What you need to know about your SNF’s QRP Provider Preview Reports.

The IMPACT Act of 2014 requires SNF’s to submit Quality Measure data that relates to the care they provide, and to make that information available to the public. The SNF Quality Reporting Program (QRP) data will be available to the public soon on Nursing Home Compare (NHC). It will include:

• Discharge to Community
• Potentially Preventable 30-Day Post Discharge Readmission Measure
• Medicare Spending Per Beneficiary
• Application of Percent of Long Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function
• Application of Percent of Residents Experiencing One or More Falls with Major Injury
• Percent of Residents with Pressure Ulcers that are New or Worsened

SNF Provider Preview Reports

CMS issues SNF QRP Provider Preview Reports quarterly to allow providers an opportunity to review their Quality Measure results over a 30-day preview period. While this sounds like a last minute opportunity to review and correct, it is not. These reports are for preview only and corrections are not allowed since the data submission deadline for the respective measures will have already passed.

However, providers are still strongly encouraged to review their data for issues (i.e. coding errors, inaccurate data submission that the facility failed to correct prior to the submission deadline) and submit requests via email to CMS requesting that their data be reviewed if they believe there are inaccuracies with the denominator or quality metrics. Requests such as this will ONLY be accepted during the 30-day window and must be sent via email to SNFQRPPRquestions@cms.hhs.gov. If CMS agrees to corrections it will be reflected in the subsequent quarterly release of data on Nursing Home Compare.

The routine review of these QRP Review and Correct Reports prior to the submission deadline and incorporating them into your QAA/QAPI process is critical. Equally important is ensuring your staff understand how these measures are populated so proactive steps can be taken to identify opportunities for improvement. Two key approaches to sustainable process improvement!

For more information on how to access these reports or manage your data, go to the CMS QRP webpage or contact your Coretactics experts today.

Sarah Ragone, MSPT, RAC-CT
VP of Reimbursement & Education